Effects of Mind-Body Exercises for Osteoporosis in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Author: Haili Li1, Haobo Jiang2,3, Jingye Wang3, Jin Zhou1, Hao Liang2, Guangxue Chen3, Zehua Guo3, Shaofeng Yang3, Yonghui Zhang4
1 Hemodialysis Center, , Henan, ChinaLuohe Central Hospital.
2 School of Chinese Medicine, , Changsha, ChinaHunan University of Chinese Medicine.
3 Department of Spinal Surgery, The First Hospital of Hunan University of Chinese Medicine, Hunan, China.
4 Department of Joint Surgery, Luohe Central Hospital, Henan, China.
Conference/Journal: Geriatr Orthop Surg Rehabil
Date published: 2023 Aug 14
Other: Volume ID: 14 , Pages: 21514593231195237 , Special Notes: doi: 10.1177/21514593231195237. , Word Count: 240

Osteoporosis is a major cause of fractures and even life-threatening fractures in the elderly. Mind-body exercise is a beneficial intervention to improve flexibility, control body balance and reduce pain. We aimed to evaluate the effects of physical and mental exercise on osteoporosis in the elderly.

Randomized controlled trials (RCTs) focusing on mind-body exercises for osteoporosis were included. Web of Science, PubMed, Science Direct, Medline, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wanfang were searched from inception to January 2023. Outcomes included bone mineral density (BMD), bone mineral content (BMC), body balance (BB), pain, indicators of bone metabolism (BMI), lower extremity function, fearing level, and quality of life (QOL). The quality of study reporting was rated by 2 reviewers independently, and Review Manager software (version 5.3) was used for meta-analysis.

Thirty-nine trials with 2325 participants were included. The pooled results showed that mind-body exercises have encouraging effect on elderly people with osteoporosis, especially in aspects of BMD, BMC, QOL, improving the function of lower extremity, reducing pain and fearing level. While, dance and eight-section brocade could not improve the quality of life,or dance and eight-section brocade have no effect on BMD.

Mind-body exercises may have potential efficacy for osteoporosis in the elderly. However, due to the poor methodological quality of the included trials, more clinical trials with precise methodological design and rigorous reporting are needed.

Keywords: geriatric medicine; meta-analysis; metabolic bone disorders; mind-body exercise; osteoporosis.

PMID: 37588426 PMCID: PMC10426313 DOI: 10.1177/21514593231195237